Cross-Cultural and International Extensions of Evidence-Based Psychotherapy: Toward More Effective and Sensitive Psychological Services Everywhere

Draguns, Juris G.

doi:10.2117/psysoc.2013.74

Cited by 8 publications

(7 citation statements)

References 45 publications

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“…Therefore, the existing evidence base of CACP is not suitable for broad generalizations to all of humankind. In addition, it is extremely difficult to locate studies or meta-analyses that look at the efficacy of formal counseling or psychotherapy with country as a moderator (Draguns, 2013; Xu & Tracey, 2016). The absence of this research highlights how oblivious many counseling and psychotherapy researchers are to this possibility.…”

Section: The Global Mental Health Movement and Cacpmentioning

confidence: 99%

Racial, ethnic, cultural, and national disparities in counseling and psychotherapy outcome are inevitable but eliminating global mental health disparities with indigenous healing is not.

Bedi

2018

Archives of Scientific Psychology

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The professional practices of counseling and psychotherapy were developed in the Western world to address problems common in Western countries in a manner consistent with Western understandings. There is a small but growing awareness that (a) counseling and psychotherapy are cultural by-products rather than universal healing practices, and (b) counseling and psychotherapy share important therapeutic elements with many well-established indigenous healing practices from other countries. Despite these notions, counseling and psychotherapy are being exported to other countries at a high rate and often without enough scrutiny. Although this is generally done with good intentions to promote global mental health and to address differences in mental health across the world, these practices can be inconsistent with the societal values and collective beliefs of individuals in non-Western countries and can sometimes lead to more harm than good. Providing counseling and psychotherapy to such individuals would be equivalent to offering a westernized individual an indigenous healing practice from a different part of the world that does not fit within a Western belief structure. Therefore, counseling and psychotherapy may not be as effective as long-standing indigenous healing practices for individuals who do not subscribe to the assumptions, customs, cultural principles, and culturally promoted objectives that underlie the Western practices of counseling and psychotherapy. Therefore, these practices should not be always recommended in non-Western cultures. Instead, promoting traditional healers and indigenous healing practices and integrating them with culturally adapted counseling and psychotherapy is recommended to reduce international mental health disparities.

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Section: The Global Mental Health Movement and Cacpmentioning

confidence: 99%

Racial, ethnic, cultural, and national disparities in counseling and psychotherapy outcome are inevitable but eliminating global mental health disparities with indigenous healing is not.

Bedi

2018

Archives of Scientific Psychology

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“…National health insurance coverage of CBT for mood disorders began in Japan in 2010, which has supported research, training, and practice. Cultural adaptations of CBT are particularly important in Japan because psychopathology is strongly influenced by the social context, which is at odds with the individual emphasis of CBT (Draguns, 2013). However, similar to the United States, it is unknown how therapists in Japan culturally adapt CBT.…”

mentioning

confidence: 99%

Cultural adaptations of psychotherapy: Therapists’ applications of conceptual models with Asians and Asian Americans.

Hall¹,

Kim-Mozeleski²,

Zane³

et al. 2019

Asian American Journal of Psychology

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Although conceptual models of cultural adaptations of psychotherapy have been developed, little is known about how therapists apply these models in clinical practice. The purpose of the current study was to examine, using a directed content analysis, how therapists culturally adapt cognitive-behavioral therapy, one of the most widely used evidence-based approaches, for application with clients of Asian ancestry. The study also examined if there were major differences in adaptation strategies between therapists who practice in the United States (N ϭ 9), a predominantly individualistic society, as opposed to those who practice in Japan (N ϭ 6), a predominantly collectivistic society. Semistructured, openended interviews revealed that interdependent conceptualizations of the self and indirect communication were addressed by therapists in both countries, and therapist credibility issues were addressed only by therapists in the United States. These results imply that when culturally adapting psychotherapy, therapists incorporate elements of conceptual models that are relevant to their clients' cultures. What is the public significance of this article?This study suggests that therapists in the United States and Japan culturally adapt psychotherapy for their Asian clients. These adaptations may make psychotherapy more relevant to clients from diverse cultural backgrounds.

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“…In the long run, putting more effort into developing and testing local psychotherapy models may be beneficial, especially in comparing them with psychotherapy models of Western origin and their adapted versions. In all these efforts, cultural elements that potentially can reinforce the variables of global relationships such as therapeutic alliance and empathy (Draguns, 2013) must be given special attention.…”

Section: Discussionmentioning

confidence: 99%

“…In another meta-analysis conducted by Tao, Owen, Pace, and Imel (2015) investigating the effect of psychotherapists' cultural competence on therapeutic processes and outcomes, a positive correlation is suggested for therapists' cultural competence with working alliance, client satisfaction, general counseling competence, session impact, and symptom improvement. Draguns (2013) and Rathod (2016), in their systematic reviews regarding the cultural adaptation of psychotherapy models, emphasized findings that demonstrate cultural adaptation to increase treatment effectiveness and called for further research on the subject. Falicov (2009), in his work on culturally attuned treatments for Latinos, also supported the idea of cultural adaptation positively affecting the outcome of treatment.…”

Section: Cultural Adaptations On Psychotherapymentioning

confidence: 99%

Cross-Cultural Research on Psychotherapy: The Need for a Change

Koç

Kafa

2018

Journal of Cross-Cultural Psychology

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Psychotherapy models, some of which now have a history over a century, have been practiced worldwide. However, considering that the most prevalently applied psychotherapy models are the products of Western culture, questioning the extent of these models’ effectiveness and efficiency for people belonging to diverse cultural backgrounds is legitimate. No doubt, ethno-cultural groups living in Western multicultural societies will interact with Western culture more deeply compared with people living in non-Western countries; therefore, to also think that their needs will differ is reasonable. In this case, the quantity and quality of the required adaptations may also change. Although a promising number of studies exist on intercultural adaptations necessitated by the needs of multicultural societies, the literature on the effectiveness of these models in the non-Western world and the local psychotherapy models is quite limited. One important question is whether psychotherapy models can be adapted to address non-Western cultures without transforming their fundamental assumptions, and if so, can this be conducted efficiently? With these questions in mind, the aim is to review the current state of scientific studies on psychotherapy practices in various cultures. In addition, considering the large spectrum of cultural migration taking place in modern days and the difficulty of receiving mental health services in underdeveloped countries, the importance of adapted and local psychotherapy research has been emphasized and some suggestions for consideration in future research have been made.

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Cross-Cultural and International Extensions of Evidence-Based Psychotherapy: Toward More Effective and Sensitive Psychological Services Everywhere

Cited by 8 publications

References 45 publications

Racial, ethnic, cultural, and national disparities in counseling and psychotherapy outcome are inevitable but eliminating global mental health disparities with indigenous healing is not.

Racial, ethnic, cultural, and national disparities in counseling and psychotherapy outcome are inevitable but eliminating global mental health disparities with indigenous healing is not.

Cultural adaptations of psychotherapy: Therapists’ applications of conceptual models with Asians and Asian Americans.

Cross-Cultural Research on Psychotherapy: The Need for a Change

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